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1.
Viruses ; 16(7)2024 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-39066313

RESUMO

Hepatitis B surface antigen (HBsAg) is not only the biomarker of hepatitis B virus (HBV) infection and expression activity in hepatocytes, but it also contributes to viral specific T cell exhaustion and HBV persistent infection. Therefore, anti-HBV therapies targeting HBsAg to achieve HBsAg loss are key approaches for an HBV functional cure. In this study, we found that YZH-106, a rupestonic acid derivative, inhibited HBsAg secretion and viral replication. Further investigation demonstrated that YZH-106 promoted the lysosomal degradation of viral L- and M-HBs proteins. A mechanistic study using Biacore and docking analysis revealed that YZH-106 bound directly to the PreS2 domain of L- and M-HBsAg, thereby blocking their entry into the endoplasmic reticulum (ER) and promoting their degradation in cytoplasm. Our work thereby provides the basis for the design of a novel compound therapy to target HBsAg against HBV infection.


Assuntos
Antígenos de Superfície da Hepatite B , Vírus da Hepatite B , Lisossomos , Replicação Viral , Humanos , Vírus da Hepatite B/efeitos dos fármacos , Vírus da Hepatite B/genética , Antígenos de Superfície da Hepatite B/metabolismo , Lisossomos/metabolismo , Replicação Viral/efeitos dos fármacos , Hepatite B/virologia , Hepatite B/tratamento farmacológico , Antivirais/farmacologia , Proteólise , Células Hep G2 , Hepatócitos/virologia , Hepatócitos/metabolismo , Simulação de Acoplamento Molecular , Ligação Proteica , Precursores de Proteínas
2.
World J Gastrointest Oncol ; 16(6): 2463-2475, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38994169

RESUMO

BACKGROUND: Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death worldwide. Serum biomarkers play an important role in the early diagnosis and prognosis of HCC. Because a certain percentage of HCC patients are negative for alpha-fetoprotein (AFP), the diagnosis of AFP-negative HCC is essential to improve the detection rate of HCC. AIM: To establish an effective model for diagnosing AFP-negative HCC based on serum tumour biomarkers. METHODS: A total of 180 HCC patients were enrolled in this study. The expression levels of GP73, des-γ-carboxyprothrombin (DCP), CK18-M65, and CK18-M30 were detected by a fully automated chemiluminescence analyser. The variables were selected by logistic regression analysis. Several models were constructed using stepwise backward logistic regression. The performance of the models was compared using the C statistic, integrated discrimination improvement, net reclassification improvement, and calibration curves. The clinical utility of the nomogram was assessed using decision curve analysis (DCA). RESULTS: The results showed that the expression levels of GP73, DCP, CK18-M65, and CK18-M30 were significantly greater in AFP-negative HCC patients than in healthy controls (P < 0.001). Multivariate logistic regression analysis revealed that GP73, DCP, and CK18-M65 were independent factors for diagnosing AFP-negative HCC. By comparing the diagnostic performance of multiple models, we included GP73 and CK18-M65 as the model variables, and the model had good discrimination ability (area under the curve = 0.946) and good goodness of fit. The DCA curves indicated the good clinical utility of the nomogram. CONCLUSION: Our study identified GP73 and CK18-M65 as serum biomarkers with certain application value in the diagnosis of AFP-negative HCC. The diagnostic nomogram based on CK18-M65 combined with GP73 demonstrated good performance and effectively identified high-risk groups of patients with HCC.

3.
Medicine (Baltimore) ; 103(28): e38909, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38996146

RESUMO

To compare the differences in clinical and morphological features between small ruptured intracranial aneurysms and large unruptured intracranial aneurysms to evaluate the risk factors for the rupture of IAs. The clinical data of 189 consecutive patients with 193 IAs were reviewed. The patients and IAs were divided into ruptured (<5 mm) and unruptured groups (>10 mm). The characteristics of the patients and the intracranial aneurysms (IAs) were compared between the 2 groups, and the risk factors for rupture of IAs were assessed using multiple logistic regression. Patient age (odds ratio [OR], 0.955), IA located at the internal carotid artery (ICA, OR, 0.202), irregular shape (OR, 0.083) and parent vessel diameter (OR, 0.426) were negatively correlated with the risk of IA rupture. IAs located at bifurcations (OR, 6.766) were positively correlated with the risk of IA rupture. In addition to the size of the IAs, regardless of IAs shape, other factors, such as younger age (<63.5 years), location at a bifurcation, IAs located at the ICA and a small parent vessel diameter (<3.25 mm), can influence the risk of IA rupture.


Assuntos
Aneurisma Roto , Aneurisma Intracraniano , Humanos , Aneurisma Intracraniano/epidemiologia , Aneurisma Intracraniano/patologia , Aneurisma Intracraniano/complicações , Masculino , Feminino , Pessoa de Meia-Idade , Fatores de Risco , Idoso , Estudos Retrospectivos , Adulto , Fatores Etários , Artéria Carótida Interna/patologia , Modelos Logísticos
4.
Cell Prolif ; : e13698, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956399

RESUMO

Tuberculosis (TB) is a chronic disease caused by Mycobacterium tuberculosis (M.tb) and responsible for millions of deaths worldwide each year. It has a complex pathogenesis that primarily affects the lungs but can also impact systemic organs. In recent years, single-cell sequencing technology has been utilized to characterize the composition and proportion of immune cell subpopulations associated with the pathogenesis of TB disease since it has a high resolution that surpasses conventional techniques. This paper reviews the current use of single-cell sequencing technologies in TB research and their application in analysing specimens from various sources of TB, primarily peripheral blood and lung specimens. The focus is on how these technologies can reveal dynamic changes in immune cell subpopulations, genes and proteins during disease progression after M.tb infection. Based on the current findings, single-cell sequencing has significant potential clinical value in the field of TB research. Next, we will focus on the real-world applications of the potential targets identified through single-cell sequencing for diagnostics, therapeutics and the development of effective vaccines.

5.
Ecotoxicol Environ Saf ; 282: 116713, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-39002374

RESUMO

OBJECTIVE: This study focuses on the association between seminal concentration of prosaposin and ambient air pollutants and whether the association affects the normal fertilization rate in vitro fertilization (IVF) treatment. METHODS: The cohort of 323 couple participants aged 22-46 was recruited from Jan. 2013 to Jun. 2018. At enrollment, resident address information was obtained and semen parameters of male counterparts were evaluated according to WHO criteria. We used inverse distance weighting interpolation to estimate the levels of ambient pollutants (SO2, O3, CO, NO2, PM2.5, and PM10) in the surrounding area. The exposure of each participant was estimated based on the data gathered from air quality monitoring stations and their home address over various periods (0-9, 10-14, and 0-90 days) before semen sampling. The generalized linear regression model (GLM) and the Bayesian kernel machine regression (BKMR) were used to analyze the associations between pollutants, semen parameters, prosaposin, and normal fertilization. Additionally, the mediating effect of prosaposin and semen parameters on the link between pollutants and normal fertilization was investigated. RESULTS: GLM and BKMR showed exposure to ambient air pollutants was all associated with the concentration of seminal prosaposin, among them, O3 and CO were also associated with normal fertilization (-0.10, 95 %CI: -0.13, -0.06; -26.43, 95 %CI: -33.79, -19.07). Among the semen parameters, only the concentration of prosaposin and total motile sperm count (TMC) was associated with normal fertilization (0.059, 95 %CI: 0.047, 0.071; 0.016, 95 %CI: 0.012, 0.020). Mediation analysis showed that prosaposin played a stronger mediating role than TMC in the relationship between short-term exposure to O3 and fertilization (66.83 %, P<0.001 versus 3.05 %, P>0.05). CONCLUSION: Seminal plasma prosaposin showed a stronger meditating effect reflect the correlation between ambient air pollutants and normal fertilization rate than conventional semen parameters, which may be used as one of the indicators between pollution and fertilization in IVF.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Sêmen , Masculino , Humanos , Sêmen/efeitos dos fármacos , Sêmen/química , Adulto , Poluentes Atmosféricos/análise , Poluição do Ar/estatística & dados numéricos , Saposinas , Fertilização in vitro , Adulto Jovem , Pessoa de Meia-Idade , Fertilização/efeitos dos fármacos , Análise do Sêmen , Estudos de Coortes
6.
BMC Plant Biol ; 24(1): 524, 2024 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-38853253

RESUMO

BACKGROUND: Amylose, a prebiotic found in yams is known to be beneficial for the gut microflora and is particularly advantageous for diabetic patients' diet. However, the genetic machinery underlying amylose production remains elusive. A comprehensive characterization of the genetic basis of amylose content in yam tubers is a prerequisite for accelerating the genetic engineering of yams with respect to amylose content variation. RESULTS: To uncover the genetic variants underlying variation in amylose content, we evaluated amylose content in freshly harvested tubers from 150 accessions of Dioscorea zingibensis. With 30,000 high-quality single nucleotide polymorphisms (SNP), we performed a genome-wide association analysis (GWAS). The population structure analysis classified the D. zingiberensis accessions into three groups. A total of 115 significant loci were detected on four chromosomes. Of these, 112 significant SNPs (log10(p) = 5, q-value < 0.004) were clustered in a narrow window on the chromosome 6 (chr6). The peak SNP at the position 75,609,202 on chr6 could explain 63.15% of amylose variation in the population and fell into the first exon of the ADP-glucose pyrophosphorylase (AGPase) small subunit gene, causing a non-synonymous modification of the resulting protein sequence. Allele segregation analysis showed that accessions with the rare G allele had a higher amylose content than those harboring the common A allele. However, AGPase, a key enzyme precursor of amylose biosynthesis, was not expressed differentially between accessions with A and G alleles. Overexpression of the two variants of AGPase in Arabidopsis thaliana resulted in a significantly higher amylose content in lines transformed with the AGPase-G allele. CONCLUSIONS: Overall, this study showed that a major genetic variant in AGPase probably enhances the enzyme activity leading to high amylose content in D. zingiberensis tuber. The results provide valuable insights for the development of amylose-enriched genotypes.


Assuntos
Amilose , Dioscorea , Estudo de Associação Genômica Ampla , Tubérculos , Polimorfismo de Nucleotídeo Único , Amilose/metabolismo , Dioscorea/genética , Dioscorea/metabolismo , Tubérculos/genética , Tubérculos/metabolismo , Plantas Geneticamente Modificadas/genética , Genes de Plantas
7.
Front Endocrinol (Lausanne) ; 15: 1380778, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38841302

RESUMO

Objective: To investigate the interaction between atosiban and growth hormone (GH) as adjuvants in frozen-thawed embryo transfer (FET) cycles. Method: A total of 11627 patients who underwent FET at Xiamen University Affiliated Chenggong Hospital between January 2018 to December 2022 were retrospectively analyzed. Among them, 482 patients received atosiban and 275 patients received GH. The interactions were estimated by comparing the odds ratio (OR) for pregnancy comparing patients with or without atosiban adjuvant in cohorts stratified according to the presence of GH use in either the overall cohort or a propensity score (PS) matched cohort. An interaction term (atosiban × GH) was introduced to a multivariate model to calculate the ratio of OR (ORR) adjusted for confounders. Results: For all patients receiving atosiban administration, no obvious effect on pregnancy was observed in comparison with either matched or unmatched controls. However, when the patients were stratified according to GH administration, atosiban showed a significant association with clinical pregnancy in comparison with either matched or unmatched controls among patients with GH treatment with rate ratios (RR) of 1.32 (95%CI: 1.05,1.67) and 1.35 (95%CI: 1,1.82), respectively. On the other hand, however, the association was absent among patients without GH treatment. The adjusted ORRs in both matched and unmatched cohorts were 2.44 (95%CI: 1.07,5.84) and 1.95 (95%CI: 1.05, 3.49) respectively. Conclusion: The combination use of atosiban and GH in FET cycles is potentially beneficial to the pregnancy. However, indications for the use of atosiban and GH may need further assessment.


Assuntos
Criopreservação , Transferência Embrionária , Taxa de Gravidez , Vasotocina , Humanos , Feminino , Transferência Embrionária/métodos , Gravidez , Adulto , Estudos Retrospectivos , Criopreservação/métodos , Vasotocina/análogos & derivados , Vasotocina/administração & dosagem , Hormônio do Crescimento/administração & dosagem , Hormônio do Crescimento Humano/administração & dosagem , Hormônio do Crescimento Humano/uso terapêutico , Fertilização in vitro/métodos
8.
Front Endocrinol (Lausanne) ; 15: 1365467, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38706702

RESUMO

Background: Low-dose aspirin is one of the widely used adjuvants in assisted reproductive technologies with the hope of improving the live birth rate. However, the studies regarding its effects are conflicting. The study aimed to investigate the association between aspirin administration and live birth following frozen-thawed embryo transfer (FET) in patients with different body mass index (BMI). Methods: A retrospective cohort study was performed on 11,993 patients receiving FET treatments. 644 of which received a low-dose aspirin (100 mg/day) during endometrial preparation until 10 weeks after transfer. Propensity score matching was performed to avoid selection biases and potential confounders. Results: The clinical pregnancy rate and live birth rate were similar before matching (54.4% versus 55.4%, RR: 1.02, 95%CI: 0.95-1.09, and 46.3 versus 47.8, RR: 1.03, 95%CI: 0.95-1.12 respectively). A weak association in favor of aspirin administration was found in the matched cohort (49.5% versus 55.4%, RR: 1.12, 95%CI: 1.01-1.24, and 41.9% versus 47.8%, RR: 1.14, 95%CI: 1.01-1.29 respectively). However, when stratified the patients with WHO BMI criteria, a significant increase in live birth rate associated with aspirin treatment was found only in patients with low BMI (<18.5 kg/m2) in either unmatched (46.4% versus 59.8%, RR:1.29, 95%CI:1.07-1.55) or matched cohort (44% versus 59.8%, RR: 1.36, 95%CI: 1.01-1.83) but not in patients with higher BMI categories. With the interaction analysis, less association between aspirin and live birth appeared in patients with normal BMI (Ratio of OR:0.49, 95%CI: 0.29-0.81) and high BMI (Ratio of OR:0.57, 95%CI: 0.27-1.2) compared with patients with low BMI. Conclusion: BMI may be considered when evaluating aspirin's effect in FET cycles.


Assuntos
Aspirina , Índice de Massa Corporal , Transferência Embrionária , Taxa de Gravidez , Pontuação de Propensão , Humanos , Aspirina/administração & dosagem , Aspirina/uso terapêutico , Feminino , Gravidez , Estudos Retrospectivos , Transferência Embrionária/métodos , Adulto , Nascido Vivo/epidemiologia , Criopreservação/métodos , Resultado da Gravidez , Fertilização in vitro/métodos
9.
Anal Chim Acta ; 1301: 342475, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38553128

RESUMO

BACKGROUND: Quinolones (QNs) widely exist in the environment due to their wide range of applications and poor metabolic properties, resulting in the generation and spread of resistance genes, posing a potential threat to human health. Traditional analytical methods cannot detect all broad ranges of QNs simultaneously. The development of facile, efficient and reliable method for quantification and assessment of the total QNs is a long-lasting challenge. RESULTS: We hereby provide a simple, sensitive and instantaneous group-targeting biosensor for the detection of total QNs in environmental water samples. The biosensor is based on a group-specific antibodies with high affinity against QNs. Fluorescent labeled antibodies bound to the coated antigen modified on the surface of the transducer, and excited by the evanescent waves. The detected fluorescent signal is inversely proportional to the QNs concentration. This biosensor exhibited excellent performance with detection limits lower than 0.15 µg L-1 for all five QNs variants, and even lower than 0.075 µg L-1 for ciprofloxacin (CIP) and ofloxacin (OFL). Environmental water samples can be detected after simple pretreatment, and all detection steps can be completed in 10 min. The transducer has a high regenerative capacity and shows no significant signal degradation after two hundred detection cycles. The recoveries of QNs in a variety of wastewater range from 105 to 119%, confirming its application potential in the measurement of total QNs in reality. SIGNIFICANCE: The biosensor can realize rapid and sensitive detection of total QNs in water samples by simple pretreatment, which overcomes the disadvantage of the traditional methods that require complex pretreatment and time-consuming, and pave the groundwork for expansive development centered around this technology.


Assuntos
Técnicas Biossensoriais , Quinolonas , Humanos , Ciprofloxacina , Ofloxacino , Água
10.
Nanoscale ; 16(8): 4289-4298, 2024 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-38349138

RESUMO

Optical information concealment/encryption technologies are of great importance to structural color applications. Although a series of responsive materials have been developed for dynamic structural color, the shortcomings of the high-quality synthesis process, the complex controlling method, and the low-resolution capability limit their practical use. Herein, we proposed a novel strategy of humidity-driven structural-color-based imaging concealment/encryption by utilizing metal-hydrogel-metal (MHM) nanocavities with configurable swellablity response to humidity change. With varied exposure doses, multi-stage MHM nanocavities with swellable hydrogel interlayers are achieved, generating dynamic structural color covering the visible spectrum. We revealed that the swelling ratio of hydrogel microstructures can be gradually adjusted between 1.05 and 2.08 by varying the exposure dose. We demonstrated that a hydrogel-based structural color image can be concealed with humidity changes by configurating swellable and non-swellable hydrogel pixels together. Furthermore, we developed the double exposure method in which the first exposure can generate pixel arrays for the deceptive image and the second exposure can locally suppress the swellablity of certain pixels. This method can highlight hidden images in a moist state, demonstrating a powerful strategy for high-density optical information encryption.

11.
Front Immunol ; 15: 1326859, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38361935

RESUMO

The central nervous system (CNS) harbors its own special immune system composed of microglia in the parenchyma, CNS-associated macrophages (CAMs), dendritic cells, monocytes, and the barrier systems within the brain. Recently, advances in the immune cells in the CNS provided new insights to understand the development of tuberculous meningitis (TBM), which is the predominant form of Mycobacterium tuberculosis (M.tb) infection in the CNS and accompanied with high mortality and disability. The development of the CNS requires the protection of immune cells, including macrophages and microglia, during embryogenesis to ensure the accurate development of the CNS and immune response following pathogenic invasion. In this review, we summarize the current understanding on the CNS immune cells during the initiation and development of the TBM. We also explore the interactions of immune cells with the CNS in TBM. In the future, the combination of modern techniques should be applied to explore the role of immune cells of CNS in TBM.


Assuntos
Mycobacterium tuberculosis , Tuberculose Meníngea , Humanos , Sistema Nervoso Central/patologia , Encéfalo/patologia , Microglia/patologia
12.
J Assist Reprod Genet ; 41(3): 661-672, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38386117

RESUMO

PURPOSE: To investigate the impact of heterogeneity in patient indications or insemination protocols on neonatal outcomes of singletons following early rescue ICSI (rICSI) treatments. METHODS: A retrospective study was conducted. Propensity score matching and multivariable logistic regression were used to adjust for confounders and biases. RESULTS: A total of 9095 IVF patients, 2063 ICSI patients, and 642 early rICSI patients were included in the study. No differences were detected in neonatal outcomes except small for gestational age (SGA) which increased in early rICSI patients compared with both unmatched and matched IVF groups with the risk ratio (RR) of 1.31 (95% CI: 1.05, 1.64) and 1.49 (95% CI: 1.05, 2.12). Further analysis showed that SGA increased significantly in partial fertilization failure (PFF) cycles with RRs of 1.56 (95% CI: 1.08, 2.27) and 1.78 (95% CI: 1.22, 2.59) compared with both unmatched and matched IVF patients but not in TFF patients. A positive association between fertilization rate via IVF and birth weight z-score was revealed in the PFF patients. CONCLUSION: Early rICSI in patients with total fertilization failure (TFF) appeared to be safe in terms of neonatal outcomes. However, when expanding the indications of rICSI to PFF patients, the SGA in the offspring increased, suggesting a potential effect on long-term health. Since other treatment options, such as using only the IVF-origin embryos still exist for these patients, further studies were needed to confirm the optimal decision for these patients.


Assuntos
Doenças do Recém-Nascido , Injeções de Esperma Intracitoplásmicas , Recém-Nascido , Feminino , Humanos , Gravidez , Estudos Retrospectivos , Injeções de Esperma Intracitoplásmicas/efeitos adversos , Fertilização in vitro/efeitos adversos , Peso ao Nascer , Recém-Nascido Pequeno para a Idade Gestacional , Retardo do Crescimento Fetal/etiologia , Doenças do Recém-Nascido/etiologia , Taxa de Gravidez
13.
ACS Appl Mater Interfaces ; 16(9): 11336-11348, 2024 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-38407027

RESUMO

Articular cartilage injury is a common disease in clinical medicine. Because of its special physiological structure and lack of blood, lymph, and nerves, its ability to regenerate once damaged is very limited. In this study, we designed and synthesized a series of self- and coassembled cartilage-inducing functional peptide molecules and constructed a coassembled functional peptide hydrogel based on phenylboronic acid-o-dihydroxy "click chemistry" cross-linking to promote aggregation and signal transduction of mesenchymal stem cells (MSCs) in the early stage and differentiation toward cartilage, thereby promoting the repair of cartilage damage. Three functional peptide molecules were produced using solid-phase peptide synthesis technology, yielding a purity higher than 95%. DOPA-FEFEFEFEGHSNGLPL (DFP) and PBA-FKFKFKFKGHAVDI (BFP) were coassembled at near-neutral pH to form hydrogels (C Gels) based on phenylboronic acid-o-dihydroxy click chemistry cross-linking and effectively loaded transforming growth factor (TGF)-ß1 with a release period of up to 2 weeks. Furthermore, chondrocytes and bone marrow mesenchymal stem cells (BMSCs) were cocultured with functional peptide hydrogels, and the results displayed that the coassembled functional peptide hydrogel group C Gels significantly promoted the proliferation of chondrocytes and MSCs. The chondrocyte markers collagen type I, collagen type II, and glycosaminoglycan (GAG) in the coassembled functional peptide hydrogel group were significantly higher than those in the control group, indicating that it can induce the differentiation of MSCs into cartilage. In vivo experiments demonstrated that the size and thickness of the new cartilage in the compound gel group were the most beneficial to cartilage regeneration. These results indicated that peptide hydrogels are a promising therapeutic option for cartilage regeneration.


Assuntos
Ácidos Borônicos , Cartilagem Articular , Hidrogéis , Hidrogéis/química , Cartilagem Articular/metabolismo , Condrócitos , Diferenciação Celular , Peptídeos/farmacologia , Peptídeos/metabolismo , Fator de Crescimento Transformador beta1/farmacologia , Fator de Crescimento Transformador beta1/metabolismo , Condrogênese , Engenharia Tecidual/métodos
14.
Hum Reprod ; 39(2): 364-373, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-37995380

RESUMO

STUDY QUESTION: What was the performance of different pretreatment prediction models for IVF, which were developed based on UK/US population (McLernon 2016 model, Luke model, Dhillon model, and McLernon 2022 model), in wider populations? SUMMARY ANSWER: For a patient in China, the published pretreatment prediction models based on the UK/US population provide similar discriminatory power with reasonable AUCs and underestimated predictions. WHAT IS KNOWN ALREADY: Several pretreatment prediction models for IVF allow patients and clinicians to estimate the cumulative probability of live birth in a cycle before the treatment, but they are mostly based on the population of Europe or the USA, and their performance and applicability in the countries and regions beyond these regions are largely unknown. STUDY DESIGN, SIZE, DURATION: A total of 26 382 Chinese patients underwent oocyte pick-up cycles between January 2013 and December 2020. PARTICIPANTS/MATERIALS, SETTING, METHODS: UK/US model performance was externally validated according to the coefficients and intercepts they provided. Centre-specific models were established with XGboost, Lasso, and generalized linear model algorithms. Discriminatory power and calibration of the models were compared as the forms of the AUC of the Receiver Operator Characteristic and calibration curves. MAIN RESULTS AND THE ROLE OF CHANCE: The AUCs for McLernon 2016 model, Luke model, Dhillon model, and McLernon 2022 model were 0.69 (95% CI 0.68-0.69), 0.67 (95% CI 0.67-0.68), 0.69 (95% CI 0.68-0.69), and 0.67 (95% CI 0.67-0.68), respectively. The centre-specific yielded an AUC of 0.71 (95% CI 0.71-0.72) with key predictors including age, duration of infertility, and endocrine parameters. All external models suggested underestimation. Among the external models, the rescaled McLernon 2022 model demonstrated the best calibration (Slope 1.12, intercept 0.06). LIMITATIONS, REASONS FOR CAUTION: The study is limited by its single-centre design and may not be representative elsewhere. Only per-complete cycle validation was carried out to provide a similar framework to compare different models in the sample population. Newer predictors, such as AMH, were not used. WIDER IMPLICATIONS OF THE FINDINGS: Existing pretreatment prediction models for IVF may be used to provide useful discriminatory power in populations different from those on which they were developed. However, models based on newer more relevant datasets may provide better calibrations. STUDY FUNDING/COMPETING INTEREST(S): This work was supported by the National Natural Science Foundation of China [grant number 22176159], the Xiamen Medical Advantage Subspecialty Construction Project [grant number 2018296], and the Special Fund for Clinical and Scientific Research of Chinese Medical Association [grant number 18010360765]. TRIAL REGISTRATION NUMBER: N/A.


Assuntos
Fertilização in vitro , Infertilidade , Gravidez , Feminino , Humanos , Fertilização in vitro/métodos , Infertilidade/terapia , Nascido Vivo , Modelos Lineares , Europa (Continente) , Coeficiente de Natalidade , Estudos Retrospectivos
15.
J Assist Reprod Genet ; 41(2): 347-358, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38040894

RESUMO

PURPOSE: To evaluate the contribution of the cleavage stage morphological parameters to the prediction of blastocyst transfer outcomes. METHODS: A retrospective study was conducted on 8383 single-blastocyst transfer cycles including 2246 fresh and 6137 vitrified-warmed cycles. XGboost, LASSO, and GLM algorithms were employed to establish models for assessing the predictive value of the cleavage stage morphological parameters in transfer outcomes. Four models were developed using each algorithm: all-in model with or without day 3 morphology and embryo quality-only model with or without day 3 morphology. RESULTS: The live birth rate was 48.04% in the overall cohort. The AUCs of the models with the algorithm of XGboost were 0.83, 0.82, 0.63, and 0.60; with LASSO were 0.66, 0.66, 0.61, and 0.60; and with GLM were 0.66, 0.66, 0.61, and 0.60 respectively. In models 1 and 2, female age, basal FSH, peak E2, endometrial thickness, and female BMI were the top five critical features for predicting live birth; In models 3 and 4, the most crucial factor was blastocyst formation on D5 rather than D6. In model 3, incorporating cleavage stage morphology, including early cleavage, D3 cell number, and fragmentation, was significantly associated with successful live birth. Additionally, the live birth rates for blastocysts derived from on-time, slow, and fast D3 embryos were 49.7%, 39.5%, and 52%, respectively. CONCLUSIONS: The value of cleavage stage morphological parameters in predicting the live birth outcome of single blastocyst transfer is limited.


Assuntos
Transferência Embrionária , Nascido Vivo , Gravidez , Feminino , Humanos , Estudos Retrospectivos , Desenvolvimento Embrionário , Coeficiente de Natalidade , Blastocisto , Taxa de Gravidez
17.
PLoS One ; 18(12): e0295706, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38064522

RESUMO

This study aims to investigate green finance's impact on the synergy between ESG and green innovation (ESGGI) performance and examine the potential influence played by stakeholders' green concerns on this impact. Hence, we calculated the synergy of ESGGI performance based on the entropy method and the coupled coordination degree model and conducted regression analyses on the data of 1143 Chinese companies from 2012 to 2020. The results reveal a remarkable inverted U-shaped relationship between green finance and the synergy of ESGGI performance. Additionally, the green concerns of the government and the media can efficiently moderate green finance's impact on the synergy of ESGGI performance. Further tests show that green finance's impact on the synergy of ESGGI performance of SOEs, HPEs, and HTEs is more significant. This paper demonstrates an association between green finance and the synergy of ESGGI performance, which yields new insights for companies to implement green transformation and sustainable development.

18.
Cell Death Dis ; 14(10): 698, 2023 10 24.
Artigo em Inglês | MEDLINE | ID: mdl-37875506

RESUMO

Disturbance in the redox balance of alveolar epithelial cells (AECs) was considered as a causal factor for pulmonary fibrosis. The regulatory mechanisms of redox hemostasis in the development of pulmonary fibrosis remain largely unknown. Using a type II AEC-specific Sohlh2 conditional knock-in (CKI) mouse model, we found that Sohlh2, a basic HLH transcription factor, accelerated age-related pulmonary fibrosis. High-fat diet (HFD) resulted in a tremendous increase in lung inflammation and fibrotic changes in the lung tissues of Sohlh2 CKI mice. Sohlh2 overexpression led to a significant rise of intracellular ROS and apoptosis in the lung, mouse primary AECIIs, and human A549 cells, which was attenuated by ROS inhibitor (NAC). Sohlh2 enhanced oxidative stress via repressing p62/Keap1/Nrf2 mediated anti-oxidative signaling pathway. p62, a direct target of Sohlh2, mediated Sohlh2 effects on ROS generation and apoptosis in A549 cells. Hence, our findings elucidate a pivotal mechanism underlying oxidative stress-induced pulmonary fibrosis, providing a framework for aging-related disorder interventions.


Assuntos
Fibrose Pulmonar , Humanos , Camundongos , Animais , Fibrose Pulmonar/metabolismo , Fator 2 Relacionado a NF-E2/genética , Fator 2 Relacionado a NF-E2/metabolismo , Proteína 1 Associada a ECH Semelhante a Kelch/genética , Proteína 1 Associada a ECH Semelhante a Kelch/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Transdução de Sinais , Estresse Oxidativo , Oxirredução
19.
Ecotoxicol Environ Saf ; 264: 115454, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37688862

RESUMO

OBJECTIVE: To investigate the associations between exposure to ambient air pollutants and birthweight following ART treatment. DESIGN: Retrospective cohort study. METHODS: We included 11,599 singletons derived from fresh cycles or frozen-thawed embryo transfer (FET) cycles between Jan 2013 and Dec 2019. Exposure to six air pollutants (SO2, NO2, CO, O3, PM2.5, and PM10) at patients` residences and the clinic site were estimated using the inverse distance weighting interpolation method based on data obtained from monitor sites. The daily mean levels of pollutants were estimated in potential exposure windows (the period from three months before treatment to oocyte retrieval, the period of ovarian stimulation, the period of in vitro culture, the period from embryo transfer to hCG test, the period of entire pregnancy, the 1st, 2nd, and 3rd trimester) were calculated. Generalized additive models adjusted for confounders including maternal age, BMI, and parity were used to evaluate the association between exposures and birthweight. Interaction of exposures and ART-associated factors, such as supraphysiologic estradiol and frozen-thawed, were explored in an XGboost model. MAIN OUTCOME MEASURES: Birthweight and z-score of singletons. RESULTS: In fresh cycles, O3 exposure during the period from three months before treatment to oocyte retrieval and SO2 exposure during in vitro culture at the ART clinic showed a linear association with birthweight (7.24, 95% CI: 1.18-13.31 g per 10 µg/m3 increase in O3; 25.92, 95% CI: 8.26-43.58 g per 10 µg/m3 increase in SO2, respectively). For patients receiving single blastocyst transfer with exposures below the China standard of 20 µg/m3, an increase of 10 µg/m3 in SO2 was associated with a 61.52 (95% CI: 1.13-121.91) g increase in birthweight. In FET cycles, no significant association was found between air pollution and birthweight. XGboost model did not reveal a strong interaction between the exposures and ART-related factors, except for the interactions between O3 exposure and BMI. However, none of the interactions reached a higher rank of importance. CONCLUSIONS: Air pollution exposure during ART treatment may affect the birthweight of the offspring.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Poluentes Ambientais , Gravidez , Feminino , Humanos , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Peso ao Nascer , Estudos Retrospectivos , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Recuperação de Oócitos , China , Material Particulado/efeitos adversos , Material Particulado/análise
20.
Water Res ; 244: 120449, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37572462

RESUMO

The biological oxidation of elemental sulfur (S0) to sulfate and the reduction of S0 to sulfide provide a potential route for extracting and reclaiming phosphorus (P) from anaerobically digested sludge (ADS). However, the treatment performance, stability, and cost-effectiveness of the two opposing bioprocesses based on S° for selective P recovery from ADS remain unclear. This study aimed to compare the roles of S0-oxidizing bacteria (S0OB) and S0-reducing bacteria (S0RB) in liberating insoluble P from ADS through single-batch and consecutive multibatch experiments. Changes in P speciation in the sludge during the biological extraction processes were analyzed by using complementary sequential extraction and P X-ray absorption near-edge spectroscopy. Results showed that S0OB treatment extracted more phosphate from the sludge compared with S0RB treatment, but it also released a considerable amount of metal cations (e.g., heavy metals, Mg2+, Al3+, Ca2+) and negatively affected sludge dewaterability due to intense sludge acidification and cell lysis. At pH 1.2, the S0OB treatment released 92.9% of P from the sludge, with the dissolution of HAP, Fe-PO4, Mg3(PO4)2, and P-fehrrihy contributing 26.8%, 22.1%, 12.8%, and 10.5%, respectively. The S0RB treatment released 63.6% of P from the sludge at pH 7.0, with negligible dissolution of metal cations, thereby avoiding costly purification of the extract and alkali neutralization for pH adjustment. This treatment involved the replacement of phosphates bounded with Fe-PO4 (FePO4 and P-fehrrihy) and Al-PO4 (P-Alumina and AlPO4) with biogenic sulfides, with contributions of 72.7%, and 20.9%, respectively. Consecutive bioprocesses for P extraction were achieved by recirculating the treated sludge. Both S0OB and S0RB treatments did not affect the extent of sludge dewatering but considerably weakened the dewatering rate. The S0OB-treated sludge exhibited prolonged filtration time (from 3010 s to 9150 s) and expressing time (from 795 s to 4690 s) during compression dewatering. After removing metal cations using cation exchange resin (CER) and neutralizing using NaOH, a vivianite product Fe3(PO4)2·8H2O (purity: 84%) was harvested from the S0OB-treated extract through precipitation with FeSO4·7H2O. By contrast, a vivianite product Fe3(PO4)2·8H2O (purity: 81%) was directly obtained from the S0RB-treated extract through precipitation with FeSO4·7H2O. Ultimately, 79.8 and 57.9wt% of P were recovered from ADS through S0OB extraction-CER purification-alkali neutralization-vivianite crystallization, and S0RB extraction-vivianite crystallization, respectively. Collectively, biological S0 reduction is more applicable than biological S0 oxidation for selectively reclaiming P from Fe/Al-associated phosphate-rich ADS due to better cost-effectiveness and process simplicity. These findings are of significance for developing sludge management strategies to improve P reclamation with minimal process inputs.


Assuntos
Fósforo , Esgotos , Fósforo/química , Esgotos/química , Ferro/química , Fosfatos/química , Enxofre , Sulfetos , Cátions , Oxirredução , Álcalis , Eliminação de Resíduos Líquidos/métodos
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